Exercise following an acute cardiac event has been shown to increase cardiovascular functionalcapacity and overall health. However, continued exercise is required to maintain desired effects. At 6 months after a cardiac event only 15-40% of people exercise at levels consistent with recommended guidelines.
The purpose of this project is to conduct a head-to-head evaluation of two different interventions, SystemCHANGE and CHANGE+, as compared to Usual Care in older cardiac patients. SystemCHANGE is a novel intervention that focuses on environmental change, using System Improvement strategies to increase exercise. CHANGE+ is an intervention based on contemporary cognitive behavioral strategies, including stages of change and problem solving.
We expect the SystemCHANGE and CHANGE+ interventions to increase the adoption and maintenance of exercise in participants as compared to the Usual Care group, and we will determine whether or not there are differences in exercise adoption and maintenance between the two experimental intervention groups. The cost of the interventions will also be assessed.
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